| NPI | 1508385469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA R BRANON Owner 803-636-7951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4993) |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-02-21 |